Intended for healthcare professionals



BMJ 2007; 335 doi: (Published 19 July 2007) Cite this as: BMJ 2007;335:164

A 43 year old man who was returning after a week in Nigeria was seen behaving oddly at Heathrow airport. He was agitated, sweating profusely, and disoriented. Routine screening in customs found his urine tested positive for cocaine. A chest x ray showed multiple well defined objects in the stomach, and on admission to hospital he became tachycardic and hypertensive. He deteriorated, and cocaine poisoning was suspected. At emergency laparotomy 89 packets of cocaine were removed from his stomach and bowel (QJM 2007;100:461 doi: 10.1093/qjmed/hcm046).

Obtaining travel insurance with a history of significant illness can be difficult and expensive. Macmillan Cancer Support is working with a banking group to find out more about customers' experiences. People who have had cancer are invited to participate in the research by calling Direct Line Insurance for a quote—call 0845 246 1643 and quote marketing code 6000—before 25 July. Rest assured you don't have to buy a policy to take part in the survey. Alternatively go to

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